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General NPI Number Information
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NPI Number | 1427583335
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Entity Type | Organization
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Legal Business Name | BURIEN MEDICAL EYE CARE, LLC
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 13512 AMBAUM BLVD SW FL 3
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City | BURIEN
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State | WA
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Zip | 98146-3244
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Country | US
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Telephone | 206-243-3611
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Fax | 206-242-4380
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Provider Business Mailing Address
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Address Line | 13512 AMBAUM BLVD SW FL 3
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City | BURIEN
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State | WA
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Zip | 98146-3244
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Country | US
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Telephone | 206-243-3611
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Fax | 206-242-4380
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Authorized Official
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Title or Position | PROVIDER
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Name | MICHAEL STEINER
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Credential | M.D.
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Telephone | 206-243-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00023613
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License Number State | WA
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